Cultural Appropriate and Competent Care Nursing Approaches with Biologic Variations

biocultural ecology

It is an examination of diverse human populations by means of this three-way interaction system and focuses on specific, localized individuals and populations within a given environment.

it can aid the nurse in giving culturally appropriate health care

What is the strongest argument for including concepts on biological variations in nursing education and subsequently nursing practice?

environment; access to, utilization of, and quality of care; health status; and health outcome

From a sociological perspective, health disparity can be viewed as a chain of events signified by differences in

health disparity

It is a population-specific difference in not only disease, but health outcomes, or access to health care.

culture, human biology, ecology, and the environment

The purpose of biocultural ecology is to transcend the fragmentation inherent in the separation of?

inequality

It is a term used to refer to differences in age, rank, condition, lack of excellence in treatment, or dissimilitude (vast differences) in services available.

face

It tends to be the one prominent area that can visibly categorize people by race.

epicathnic fold

This variation of the eyelids is found predominantly in persons with Asian characteristics but may be present in other racial groups.

broad, flat noses

People who lived in moist, hot climates, such as those found on Africans and African-Americans developed what kind of noses?

metabolic syndrome

It is a clustering of abnormalities characterized by the primary defect of compensatory insulin resistance, glucose intolerance, dyslipidemia, and centrally distributed obesity.

insulin resistance index, body mass index (BMI), triglycerides/high-density lipoprotein (HDL) cholesterol ratio, and mean arterial pressure

The clusters in this study to examine the age-related patterns of cardiovascular risk factor clusters relative to metabolic syndrome among African-American and White children included?

hyperinsulinemia, hypercholesterolemia, hypertension, and obesity

Regardless of age, four mediating factors contribute to the development of coronary heart disease, which are?

baseline skin color

When caring for clients with highly pigmented skin, the nurse must first establish the?

daylight

When establishing the baseline skin color, what is the best light source for doing so?

pigmentation

To establish the baseline skin color, the nurse must observe skin surfaces that have the least amount of?

bluish hue

It is important for the nurse to remember that the lips of some Black people have a natural?

conjunctiva

It will reflect the color changes of cyanosis or pallor and are a good site for observing petechiae.

melanin deposits

A common finding in persons with highly pigmented skin is the presence of these "freckles" on the sclerae.

mongolian spots

These are bluish discolorations that vary tremendously in size and color and are often mistaken for bruises. They may be present on the skin of African-American, Asian American, American Indian, or Mexican American newborns.

keloids

These ropelike scars represent an exaggeration of the wound-healing process and may result from any type of trauma. It is more common in African-Americans than in other racial groups.

genes

These are the working subunits of chemical information that carry a complete set of instructions for making the needed protein for a cell.

isoniazid

It is a drug commonly used to treat tuberculosis. People metabolize this drug in one of two ways in which they inactivate it very slowly or vry rapidly.

pyridoxine

This drug is metabolized by oxidation and is used to treat malaria.

hemolysis of the red blood cells

When Pyridoxine is given to individuals who lack the enzymes necessary for glucose metabolism of the red blood cells, what occurs?

alcohol dehydrogenase (adh) and acetaldehyde (aldh)

What are the two enzymes involved in the metabolism of alcohol?

facial flushing

After ingesting, American Indians and Asians experience this noticeable vasomotor symptom.

propanolol

Freis (1986) noted that African-Americans tend to need higher doses of beta-adrenergic receptor-blocking agents such as?

higher blood levels

It is important for the nurse to remember that certain psychotropic drugs can cause ___________ in certain individuals by virtue of race.

drinking and smoking

These habits are known to speed drug metabolism.

inverted T waves

This aberration is a normal variant of electrocardiographic pattern in the African-American population but would indicate a pathological condition if found in other racial groups, such as Whites.